RESUMEN
BACKGROUND: Sclerosing mesenteritis (SM) is sometimes used as an umbrella-term for idiopathic inflammatory conditions in the mesentery. Mesenteric panniculitis (MP) is a radiological finding and its relation to clinical SM is not fully understood. The aims of this study were to determine whether any correlation could be found between the radiological findings and the clinical disease course. METHODS: Patients observed due to idiopathic inflammation of the mesentery were identified. If SM could be verified histologically or MP radiologically, the patients were included in this descriptive retro perspective study. RESULTS: Typical radiological changes were observed in 27 patients. A majority (23/27) of these patients had mild to moderate symptoms. This group with typical radiology was labelled MP. Four patients were included due to histologically verified disease but had uncharacteristic radiology involving multiple compartments of the abdomen. All four had marked systemic inflammation, fever and fluctuating radiologic findings. Three had severe disease with multiple hospitalisations and complications but responded promptly to corticosteroids. This group was denoted SM. CONCLUSIONS: We have identified two subgroups of patients; firstly, MP with stable and characteristic radiologic changes and secondly SM with atypical radiology and a more aggressive clinical course. We propose that the term SM should be reserved for this latter condition.
Asunto(s)
Paniculitis Peritoneal/diagnóstico por imagen , Paniculitis/diagnóstico por imagen , Radiografía/métodos , Adulto , Anciano , Diagnóstico Diferencial , Progresión de la Enfermedad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Paniculitis/clasificación , Paniculitis Peritoneal/clasificación , Estudios Prospectivos , Sistema de Registros , Estudios Retrospectivos , Suecia , Terminología como AsuntoRESUMEN
A paniculite mesentérica é uma entidade clínica rara. Aqui apresentamos um caso de um paciente de 71 anos, e, uma revisão da literatura foi feita analisando suas características clínicas (sinais e sintomas), suas complicações e seu prognóstico, bem como seu tratamento.
Mesenteric panniculitis, a very uncommon disease, was described by Jura in 1924, for the first time. The authors report a case of mesenteric panniculitis in a 71 years-old-man. The literature was widely reviewed and several controversies about clinical manifestations, etiology, macroscopic and microscopy findings are discussed. Finally the most adequate treatament for different complications of this desease were described.